Study on Necessity of Indwelling Ureteral Stent before Retrograde Intrarenal Surgery_West China Medical Journal

Authors：

 LuoHua , LiaoGaoyuan , LiuChen , WangXiaobo

Department of Urology, the Second People's Hospital of Deyang, Deyang, Sichuan 618000, P. R. China;

Corresponding author：

Keywords：

Retrograde intrarenal surgery; Ureteral stent; Upper urinary tract calculi

DOI：

10.7507/1002-0179.201600545

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the necessity of indwelling ureteral stent before flexible ureteroscopic lithotripsy in the treatment of upper urinary tract calculi. Methods Eighty-five patients with upper urinary tract calculi treated between June 2013 and December 2014 were divided into two groups:group A (without indwelling stent, n=42) and group B (with indwelling stent, n=43).Incidence of stent-related urinary tract symptoms, operation time, one-time success rate of placement for ureteral access sheath, and stone clearance rate were compared between the two groups. Results The operation time and stone clearance rate had no statistically significant differences between the two groups (P > 0.05).The incidence of stent-related urinary tract symptoms and one-time success rate of placement for ureteral access sheath in group B were significantly better than those in group A (P < 0.05). Conclusion For one-phase operation success, we suggest that indwelling ureteral stent is necessary before flexible ureteroscopyic lithotripsy for treating upper urinary tract calculi.

Citation： LuoHua, LiaoGaoyuan, LiuChen, WangXiaobo. Study on Necessity of Indwelling Ureteral Stent before Retrograde Intrarenal Surgery. West China Medical Journal, 2016, 31(12): 1986-1988. doi: 10.7507/1002-0179.201600545 Copy

1.	Argyropoulos AN, Tolley DA. SWL is more cost-effective than ureterscopy and holmium:YAG laser lithotripsy for ureteric stones:a comparative analysis for a tertiary referral centre[J]. Br J Med Surg Urol, 2010, 3:65-71.
2.	Dasgupta P, Cynk MS, Bultitude MF, et al. Flexible ureterorenoscopy:prospective analysis of the Guy's experience[J]. Ann R Coll Surg Engl, 2004, 86(5):367-370.
3.	王亮, 刘吉文, 刁思军.输尿管软镜下钬激光碎石术治疗直径2 cm以上肾结石疗效观察[J].华西医学, 2016, 31(11):1814-1817.
4.	杨春, 高小峰, 周铁, 等.输尿管软镜钬激光碎石术治疗合并临床症状的肾盏憩室结石[J].中华泌尿外科杂志, 2012, 33(1):16-18.
5.	骆华, 王小波, 廖高源.输尿管软镜联合钬激光在直径>2 cm肾结石的临床应用[J].华西医学, 2016, 31(3):495-498.
6.	何云锋, 吴小候, 唐伟, 等.输尿管镜下钬激光治疗输尿管狭窄73例分析[J].重庆医学, 2012, 41(2):133-134.
7.	Mogilevkin Y, Sofer M, Margel D, et al. Predicting an effective ureteral access sheath insertion:a bicenter prospective study[J]. J Endourol, 2014, 28(12):1414-1417.
8.	Cetti RJ, Biers S, Keoghane SR. The difficult ureter:what is the incidence of pre-stenting?[J]. Ann R Coll Surg Engl, 2011, 93(1):31-33.
9.	邓青富, 朱永生, 裴利军, 等.术前预置D-J管对输尿管软镜碎石术效果的影响[J].重庆医学, 2015, 44(32):4502-4503, 4506.
10.	朱世斌, 李恭会, 张志根.预留置输尿管支架管对首次输尿管软镜碎石术中放置工作鞘的影响[J].世界临床医学, 2015, 9(4):59-60.
11.	曾国华, 高小峰.输尿管软镜术[M].北京:人民卫生出版社, 2014:87.
12.	Sanguedolce F, Liatsikos E, Verze P, et al. Use of flexible ureteroscopy in the clinical practice for the treatment of renal stones:results from a large European survey conducted by the EAU Young Academic Urologists-Working Party on Endourology and Urolithiasis[J]. Urolithiasis, 2014, 42(4):329-334.
13.	李为兵, 李龙坤, 鄢俊安.双J管在泌尿外科中的应用(附1580例报告)[J].中国内镜杂志, 2006, 12(4):376-377, 384.
14.	方烈奎, 袁谦, 黄向江, 等.物理抗菌材料防治输尿管支架管留置相关感染的临床研究[J].中华实验外科杂志, 2015, 32(3):641-643.

1. Argyropoulos AN, Tolley DA. SWL is more cost-effective than ureterscopy and holmium:YAG laser lithotripsy for ureteric stones:a comparative analysis for a tertiary referral centre[J]. Br J Med Surg Urol, 2010, 3:65-71.
2. Dasgupta P, Cynk MS, Bultitude MF, et al. Flexible ureterorenoscopy:prospective analysis of the Guy's experience[J]. Ann R Coll Surg Engl, 2004, 86(5):367-370.
3. 王亮, 刘吉文, 刁思军.输尿管软镜下钬激光碎石术治疗直径2 cm以上肾结石疗效观察[J].华西医学, 2016, 31(11):1814-1817.
4. 杨春, 高小峰, 周铁, 等.输尿管软镜钬激光碎石术治疗合并临床症状的肾盏憩室结石[J].中华泌尿外科杂志, 2012, 33(1):16-18.
5. 骆华, 王小波, 廖高源.输尿管软镜联合钬激光在直径>2 cm肾结石的临床应用[J].华西医学, 2016, 31(3):495-498.
6. 何云锋, 吴小候, 唐伟, 等.输尿管镜下钬激光治疗输尿管狭窄73例分析[J].重庆医学, 2012, 41(2):133-134.
7. Mogilevkin Y, Sofer M, Margel D, et al. Predicting an effective ureteral access sheath insertion:a bicenter prospective study[J]. J Endourol, 2014, 28(12):1414-1417.
8. Cetti RJ, Biers S, Keoghane SR. The difficult ureter:what is the incidence of pre-stenting?[J]. Ann R Coll Surg Engl, 2011, 93(1):31-33.
9. 邓青富, 朱永生, 裴利军, 等.术前预置D-J管对输尿管软镜碎石术效果的影响[J].重庆医学, 2015, 44(32):4502-4503, 4506.
10. 朱世斌, 李恭会, 张志根.预留置输尿管支架管对首次输尿管软镜碎石术中放置工作鞘的影响[J].世界临床医学, 2015, 9(4):59-60.
11. 曾国华, 高小峰.输尿管软镜术[M].北京:人民卫生出版社, 2014:87.
12. Sanguedolce F, Liatsikos E, Verze P, et al. Use of flexible ureteroscopy in the clinical practice for the treatment of renal stones:results from a large European survey conducted by the EAU Young Academic Urologists-Working Party on Endourology and Urolithiasis[J]. Urolithiasis, 2014, 42(4):329-334.
13. 李为兵, 李龙坤, 鄢俊安.双J管在泌尿外科中的应用(附1580例报告)[J].中国内镜杂志, 2006, 12(4):376-377, 384.
14. 方烈奎, 袁谦, 黄向江, 等.物理抗菌材料防治输尿管支架管留置相关感染的临床研究[J].中华实验外科杂志, 2015, 32(3):641-643.

West China Medical Journal

Study on Necessity of Indwelling Ureteral Stent before Retrograde Intrarenal Surgery

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